Lora Hollingsworth, P.E. Chief Safety Officer
Grant Management Forms
All or some of the forms listed below shall be used when submitting requests for reimbursement depending on what costs were incurred.
These forms are now available directly through the Florida Department of Transportation's Office of Forms and Procedures website to ensure users obtain the most current version. New users will need to create a login by following the on-screen instructions and accepting the noted conditions in order to access the forms website. When available, the link will direct the user to the MS Word version of the form.
If you do not wish to obtain the forms in this manner, please contact your grant planner to request them on CD.
DOT 500-065-04 Statement of Highway Safety Project Costs
(link opens the MS Word version of the form)
DOT 500-065-05 Summary Statement of Personnel Services Cost
(link opens the MS Word version of the form)
DOT 500-065-06 Personnel Services Time Sheet
(link opens the MS Word version of the form)
DOT 500-065-07 Detail of Costs
(Except Personnel Services Cost) (link opens the MS Word version
of the form)
DOT 500-065-09 Non-Expendable Property Accountability Record
(Link opens the MS Word version of the form)
Consultant Travel Form
(Link opens the MS Word version of the form)
